Request Event Coverage Form
Request Event Coverage
Email *
Request Type: *
Date of Event: *
MM
/
DD
/
YYYY
Coverage Start Time: *
Time
:
Coverage End Time:  
Note: There is a 3 hour minimum charge per officer per event.
 *
Time
:
Department: *
Contact Person *
Email: *
Contact phone number *
Banner Index: *
On Site Contact Person and Phone Number:
 *
Event location/Building name/Address:
 *
Does this event take place inside or outside? If inside, please include a room number/name. *
Event Type/title: *
Detailed Purpose of the event: Is this an Open House, Ceremony, Lecture, or Dance (what type of event) Describe in detail so we can provide the best level of service for your event. *
Type of Music: *
Estimated Number of Attendees:
 *
Will tickets be sold?
 *
Attendees, select all that apply:
 *
Required
Number of officers requested (Police officer required for events where alcohol is present or traffic control is necessary):
 *
Will alcohol be present at this event?
 *
Will cash be on sight? *
Are road closures, detours, traffic control, or special parking arrangements required? 
 *
Has permit been applied for with VCUPD Traffic Division?  *
Date of traffic/parking permit application and was it approved?
A copy of your responses will be emailed to .
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